Individual provider Active NPI

James W Dimitroff, MD

  • Gastroenterology Physician
  • Saint Peters, MO
National Provider Identifier
1376632018
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
105556 Issued in MO
Practice address
70 Jungermann Cir Ste 201
Saint Peters, MO 63376-1619
Phone
(636) 916-9615
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Southern Illinois University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Groups LC 526 clinicians

Practice addresses (Care Compare)

10 Hospital Dr
Suite 100
Saint Peters, MO 63376-1659
Phone (636) 916-7272

1110 Highlands Plaza Dr E
Saint Louis, MO 63110-1351
Phone (314) 273-0195

2630 Hwy K
O Fallon, MO 63368-6624
Phone (636) 240-5454

Hospital & facility affiliations

  • Barnes-Jewish St Peters Hospital Hospital, Saint Peters, MO, CCN 260191
  • Progress West Hospital Hospital, Ofallon, MO, CCN 260219
  • Missouri Baptist Medical Center Hospital, Saint Louis, MO, CCN 260108

Merit-based Incentive Payment System (MIPS)

Final score
86.37 of 100Reported as group
Quality
79.66
Promoting interoperability
98
Improvement activities
40
Cost
76.57

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy127
Upper gastrointestinal (GI) endoscopy for acid reflux115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100826000887 MO Practitioner - Gastroenterology 7719080811 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
105556MOMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Groups LC Gastroenterology CurrentSince Jul 30, 2025 Accepting new patients
Physician Groups LC CurrentSince Jul 30, 2025 Accepting new patients
St Louis Gastroenterology Consultants PC Gastroenterology Current Accepting new patients

Locations

2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454

13303 Tesson Ferry Rd
Ste 35
Saint Louis, MO 63128
Phone (314) 842-5700

10012 Kennerly Rd
Ste 101
Saint Louis, MO 63128
Phone (314) 525-4325

70 Jungermann Cir
Ste 201
Saint Peters, MO 63376
Phone (636) 916-9525

Interoperability endpoints

  • Direct secure messaging: james.dimitroff.p1@direct.essehealth.nextgenshare.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 105556 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

70 Jungermann Cir Ste 201
Saint Peters, MO 63376-1619

Mailing address

PO Box 959354
Saint Louis, MO 63195-9354
Phone (636) 916-9615

Other practice location 1

3555 Sunset Office Dr Ste 107
Saint Louis, MO 63127-1045
Phone (314) 543-5200

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
206981201MedicaidMO

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 Health Information Exchange (HIE)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 17, 2025.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1376632018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959354",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631959354",
            "telephone_number": "636-916-9615",
            "fax_number": "636-916-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 JUNGERMANN CIR STE 201",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761619",
            "telephone_number": "636-916-9615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3555 Sunset Office Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631271045",
            "country_code": "US",
            "telephone_number": "314-543-5200",
            "fax_number": "314-543-5219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMITROFF",
        "first_name": "JAMES",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "105556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206981201",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "70 Jungermann Cir Ste 201",
            "city": "Saint Peters",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633761619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.